Itamar Elizalde is a Counselor in Worcester, Massachusetts. Itamar Elizalde practices all healthcare services and medical treatments related to Counselor. The NPI Number for Itamar Elizalde is 1770779316. The last update date is 2007-09-18.
Itamar Elizalde's current location address is 172 Lincoln St, Worcester, Massachusetts. You can contact this provider via phone number 5087700511 and fax number 5087700875. The mailing address for Itamar Elizalde is 172 Lincoln St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Itamar Elizalde |
|---|---|
| Address | 172 Lincoln St, Worcester, Massachusetts |
| Phone Number | 5087700511 |
| Fax Number | 5087700875 |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1770779316 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 172 Lincoln St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16053750 |
| Phone Number | 5087700511 |
| Fax Number | 5087700875 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Itamar Elizalde by the Centers for Medicare & Medicaid Services?
The Itamar Elizalde has been assigned the NPI (National Provider Identifier) 1770779316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Itamar Elizalde is located?
The Itamar Elizalde is situated at the following address: 172 Lincoln St, Worcester, MA, 16053750.
What is Itamar Elizalde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Itamar Elizalde is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date was the 1770779316 assigned to Itamar Elizalde?
The Itamar Elizalde was issued its 1770779316 on 2007-09-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Itamar Elizalde last refreshed?
The information related to the Itamar Elizalde, including its address, specialty, and other relevant details, was last updated on 2007-09-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC